title: Which approach for total hip arthroplasty: anterolateral or posterior?
abstract: The best approach to use when performing THA is controversial. We did a prospective, nonrandomized multicenter study of 1089 THAs to evaluate patient-centered hip scores and dislocation and revision rates when comparing anterolateral and posterior hip approaches at 5 years' followup. Patients were divided into two groups depending on which surgical approach was used: anterolateral or posterior. The primary outcome measure was change in Oxford hip score. At 5 years, there were no differences in change in Oxford hip score and in dislocation or revision rates between the groups.
  
  
  METHODS
  Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
authors.affiliation: Botnar 2 Research Centre, Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Oxford, OX3 7LD, UK.
authors.forename: Jeya
authors.initials: J
authors.lastname: Palan
authors.forename: David J
authors.initials: DJ
authors.lastname: Beard
authors.forename: David W
authors.initials: DW
authors.lastname: Murray
authors.forename: J G
authors.initials: JG
authors.lastname: Andrew
authors.forename: John
authors.initials: J
authors.lastname: Nolan
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation; D016896:Treatment Outcome